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Organization

SD ELITE PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN DAWSON DPT (OWNER)
(925) 219-2621
Entity
Organization

Contact information

Practice address
510 HACIENDA DR STE 107, VISTA, CA 92081-6639
(760) 630-8060
(760) 630-7715
Mailing address
510 HACIENDA DR STE 107, VISTA, CA 92081-6639
(760) 630-8060

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
10/12/2018
Last updated
10/12/2018
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